Active NPI
Kimberly D Terry, M.D.
- Neurological Surgery Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 69843
- Practice address
- 535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683 - Phone
- (520) 694-4537
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 27189 | SC | |
| Neurological Surgery Physician | 207T00000X | M5056 | TX | |
| Neurological Surgery Physician | 207T00000X | 69843 | AZ | Primary |
| Neurological Surgery Physician | 207T00000X | 0101250777 | VA |
Addresses
Primary practice location
535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683
Mailing address
535 N Wilmot Rd Ste 101
Tucson, AZ 85711-2683
Phone (520) 694-4537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1867715-03 | Medicaid | TX |
Other names 1
- Dr. Kimberly Bingaman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69843 | AZ | MD | Neurological Surgery Physician |
| 27189 | SC | MD | Neurological Surgery Physician |
| M5056 | TX | MD | Neurological Surgery Physician |
| 0101250777 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Clinics for Rehabilitative Services | Current | Accepting new patients | |
| Banner-University Medical Group | Neurological Surgery | Current | Accepting new patients |
| Banner-University Medical Group | Current | Accepting new patients | |
| Children'S Surgical Specialty Group, Inc | Past | Accepting new patients |
Locations
6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979
535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600
1625 N Campbell Ave
Tucson, AZ 85719
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Neurological Surgery
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1063454346
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
-
- Pediatric Surgery Physician
- Norfolk, VA
- NPI 1245248947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1497704605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 N WILMOT RD STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112683",
"telephone_number": "520-694-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 N WILMOT RD STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112683",
"telephone_number": "520-694-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "KIMBERLY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "SC",
"license": "27189",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "M5056",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "69843",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101250777",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1867715-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BINGAMAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.